7 COMPLICACIONES Hipoxia Hipotension Hipertension Arritmia HematemnesisLaringospasmoÚlcera esofágicaMuerte0.6%0.5%0.2%0.3%0.1%<0.02%<0.01%We therefore designed this study to compare tissue Doppler velocities at different margins of the mitral valve annulus……..And to determine the effect this has on estimates of LV filling pressure

16 VENTANAS basal cuatro camaras transgástrico apex nivel musculo papilarprofundoapexMitral annular diastolic velocities provide useful information about LV diastolic functionIn particular the early diastolic velocity is inversely related to the time constant of LV pressure decay and thus acts as an index of LV relaxationThe early diastolic velocity has also been shown to be relatively preload independent and is useful in differentiating pseudonormal from normal LV filling paterns

19 CUATRO CAMARASMitral annular diastolic velocities provide useful information about LV diastolic functionIn particular the early diastolic velocity is inversely related to the time constant of LV pressure decay and thus acts as an index of LV relaxationThe early diastolic velocity has also been shown to be relatively preload independent and is useful in differentiating pseudonormal from normal LV filling paterns

20 PLANO SUPERIOR0045-60030-600120045-600Mitral annular diastolic velocities provide useful information about LV diastolic functionIn particular the early diastolic velocity is inversely related to the time constant of LV pressure decay and thus acts as an index of LV relaxationThe early diastolic velocity has also been shown to be relatively preload independent and is useful in differentiating pseudonormal from normal LV filling paterns

21 PLANO TRASNGÁSTRICO0000900Mitral annular diastolic velocities provide useful information about LV diastolic functionIn particular the early diastolic velocity is inversely related to the time constant of LV pressure decay and thus acts as an index of LV relaxationThe early diastolic velocity has also been shown to be relatively preload independent and is useful in differentiating pseudonormal from normal LV filling paterns00

22 INDICACIONES Foco embolígeno Enfermedad Valvular EndocarditisPre-cardioversiónAortaenfermedades congénitasMasas IntracardiacasEmbolismo pulmonar42%14%11%6%5%2%1%We therefore designed this study to compare tissue Doppler velocities at different margins of the mitral valve annulus……..And to determine the effect this has on estimates of LV filling pressure

23 Cuatro camaras, vegetacion en valvula mitralWe therefore designed this study to compare tissue Doppler velocities at different margins of the mitral valve annulus……..And to determine the effect this has on estimates of LV filling pressure

24 Tracto de salida de ventrículo izquierdo, raíz aórticaWe therefore designed this study to compare tissue Doppler velocities at different margins of the mitral valve annulus……..And to determine the effect this has on estimates of LV filling pressure

25 Válvula aórtica trivalva (normal)We therefore designed this study to compare tissue Doppler velocities at different margins of the mitral valve annulus……..And to determine the effect this has on estimates of LV filling pressure

26 Cuatro camaras, vegetacion en valvula mitralWe therefore designed this study to compare tissue Doppler velocities at different margins of the mitral valve annulus……..And to determine the effect this has on estimates of LV filling pressure

27 Orejuela izquierda con tromboWe therefore designed this study to compare tissue Doppler velocities at different margins of the mitral valve annulus……..And to determine the effect this has on estimates of LV filling pressure

28 Orejuela izquierda con trombo y ecocontraste espontáneoWe therefore designed this study to compare tissue Doppler velocities at different margins of the mitral valve annulus……..And to determine the effect this has on estimates of LV filling pressure